SANFORD BISMARCK NPI 1720075377

NPI Information

  • NPI: 1720075377
  • Provider Name: SANFORD BISMARCK
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • CLIA Number: 35D0409055
  • Address: 33 9TH ST W
    DICKINSON, ND
    ZIP 58601
  • Phone: (701) 483-6017

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NPI Details

SANFORD BISMARCK is a multi-specialty clinic center in Dickinson, ND. SANFORD BISMARCK NPI is 1720075377. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

33 9TH ST W
DICKINSON, ND
ZIP 58601-950
Phone: (701) 483-6017
Fax: (701) 483-5018

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The CLIA number assigned to this NPI record is 35D0409055 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 10/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
117984MEDICAIDNORTH DAKOTA
215908MEDICAIDNORTH DAKOTA
335D0409055OTHERCLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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